Patients' spirituality perspectives at the end of life: a qualitative evidence synthesis.

Autor:	Clyne B; Department of General Practice, Royal College of Surgeons in Ireland, Dublin, Ireland barbaraclyne@rcsi.ie.; Health Research Board - Collaboration in Ireland for Clinical Effectiveness Reviews (HRB-CICER), Health Information and Quality Authority Dublin Regional Office, Dublin, Ireland., O'Neill SM; Health Research Board - Collaboration in Ireland for Clinical Effectiveness Reviews (HRB-CICER), Health Information and Quality Authority Dublin Regional Office, Dublin, Ireland., Nuzum D; Pastoral Care Department, Marymount University Hospital and Hospice, Cork, Ireland.; Department of Obstetrics and Gynaecology, Cork University Maternity Hospital, Cork, Ireland., O'Neill M; Health Research Board - Collaboration in Ireland for Clinical Effectiveness Reviews (HRB-CICER), Health Information and Quality Authority Dublin Regional Office, Dublin, Ireland., Larkin J; Department of General Practice, Royal College of Surgeons in Ireland, Dublin, Ireland., Ryan M; Health Research Board - Collaboration in Ireland for Clinical Effectiveness Reviews (HRB-CICER), Health Information and Quality Authority Dublin Regional Office, Dublin, Ireland., Smith SM; Department of General Practice, Royal College of Surgeons in Ireland, Dublin, Ireland.; Health Research Board - Collaboration in Ireland for Clinical Effectiveness Reviews (HRB-CICER), Health Information and Quality Authority Dublin Regional Office, Dublin, Ireland.
Jazyk:	angličtina
Zdroj:	BMJ supportive & palliative care [BMJ Support Palliat Care] 2022 Oct; Vol. 12 (e4), pp. e550-e561. Date of Electronic Publication: 2019 Nov 26.
DOI:	10.1136/bmjspcare-2019-002016
Abstrakt:	Background: Understanding patient perceptions of their spiritual needs when approaching the end of life is essential to support the delivery of patient-centred care. Aim: To conduct a qualitative evidence synthesis on spirituality and spiritual care needs at the end of life in all healthcare settings from the patients' perspective. Design: Studies were included where they were primary qualitative studies exploring spirituality in patients with a life expectancy of 12 months or less in any setting. Two reviewers independently screened titles, extracted data and conducted methodological quality appraisal. A thematic synthesis was conducted. Grading of Recommendations, Assessment, Development and Evaluation (GRADE) - Confidence in the Evidence from Reviews of Qualitative research (CERQual) was used to summarise the certainty of the evidence. Data Sources: Six databases (Medline, Embase, Cochrane, CINAHL, PsycINFO, Applied Social Science Index and Abstracts) were searched from inception up to January 2019. Results: Fifty papers (42 unique datasets), incorporating data from 710 patients were included. Studies recruited from a mix of inpatient, outpatient, hospice and community settings across 12 different countries. Three overarching themes were generated: the concept of spirituality, spiritual needs and distress, and spiritual care resources. Relationships were an intrinsic component of spirituality. Conclusion: Meeting patients' spiritual needs is an integral part of end-of-life care. This work emphasises that supporting relationships should be a central focus of spiritual care for patients at the end of life. Prospero Registration Number: CRD42019122062. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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